Fill and Sign the Florida Power Attorney 497303334 Form

Prepared by: ____________________________ After Recording, Return to: ____________________________ ____________________________ ____________________________ ____________________________ GENERAL POWER OF ATTORNEY Finances and Property - Non-Durable (Florida Statutes 709.2101 et seq. ) STATE OF FLORIDA COUNTY OF ____________________________ KNOW ALL ME BY THESE PRESENTS: That I, ______________________________________________________ , of _________________________________________ , Florida, being of sound mind and memory, do hereby make, constitute and appoint _________________________________________ as my true and lawful agent and attorney in fact (hereinafter sometimes called "my agent"), with full power and authority to act for me, individually, and in my name, place and stead, with reference to the transaction of any and all business, do any and all things, exercise any discretion, and execute and deliver any and all conveyances and other documents of whatsoever kind and character, in or about or with respect to any and all matters and things concerning me or my property, real or personal or mixed, or affairs, as fully and completely as I might lawfully do if present and acting in person with full power of substitution or revocation, and to have all powers and rights that I now possess or may possess hereafter with respect to all of my property. Without intending in any manner to limit or diminish the foregoing powers granted to my agent, but intending to expand or enlarge upon the same, I specifically authorize and empower my agent, to: 1. Forgive, request, demand, sue for, collect, receive, hold, purchase, invest and re - invest in, transfer, sell, convey, pledge all sums of money, dues, commercial paper, checks, drafts, deposits, legacies, bequests, devises, notes, interest, stock certificates, bonds (including "Bearer Bonds"), dividends, certificates of deposit, annuities (private and public), pension, profit sharing, retirement, social security, disability, insurance and other contractual benefits and proceeds, all documents of title, all property, real or personal, intangible and tangible property and property rights, and demands whatsoever, liquidated, now or hereafter owned by me, or due, owning, payable or belonging to me or in which I have or may hereafter acquire an interest; 2. Make, execute and deliver, in my name and on my behalf, for any consideration whatsoever, for cash or on a deferred payment plan, instruments of conveyance covering real, personal or mixed properties owned or claimed by me, wherever situated, containing such terms, covenants and conditions deemed necessary or advisable by my agent; 3. Manage, maintain, repair, improve, invest, insure, rent, lease, encumber, and in any manner deal with any real or personal property owned by me, tangible or intangible, or any interest therein, that I now own or may hereafter acquire, in my name or for my benefit, enter into any lease agreement or contract for sale or repair of said property with the right to collect all rents or other funds which may be due from said property or properties, including but not limited to the execution of oil, gas and mineral leases, related contracts, agreements and division orders and collection of rents, bonuses and royalties on same, all upon such terms and conditions as my agent shall deem proper; 4. Receive, receipt for, deposit, withdraw and execute, and endorse checks and drafts thereon, in my name and on my behalf, from any bank or any other financial institution, or any investment or brokerage firm or credit union, funds, owned or claimed by me and which are on deposit in my name, including but not limited to negotiating certificates of deposit in my name in banks, savings and loan associations and other institutions and the execution of any papers or documents with the Federal Social Security Administration and/or any other governmental agency, county, state or federal; and to receive and receipt for every sum of money which is now or hereafter shall be due or belonging to me; 5. Have access at any time or times to any safe deposit box rented by me, wheresoever located, and open, enter into and remove, in my name and on my behalf, from any safe deposit box registered in my name, or jointly in my name, located in any bank or any other financial institution, all or any part of the property or contents contained therein, with the further right and power, in my name and on my behalf to sell or otherwise dispose of such property, and to surrender or relinquish said safe deposit box. Any institution in which any such box may be located shall not incur any liability to me or my estate as a result of permitting my agent to exercise this power; 6. Execute, in my name and on my behalf, such contracts or other assurances as may be requested or required by any bank or other institution or individual when carrying out the powers granted herein; and prepare, execute and file in my name joint or separate federal and state tax returns, declarations of estimated tax for any year or years and related forms on my behalf and make any other related elections related thereto deemed necessary by my agent. 7. Acquire, purchase, exchange, buy or sell options to buy or sell and convey real or personal property, tangible or intangible, or any interest therein, on such terms and conditions as my agent shall deem proper. Execute and deliver, in my name and on my behalf, conveyances of real or personal property including, but not limited to my homestead, for any consideration to my wife, children and/or their issue without consideration, of any such real or personal property owned by me at any time, including the execution of promissory notes and deeds of trust and including instruments necessary to purchase real or personal property in my name, as well as the execution or release of such deeds of trust or other security agreements as may be necessary or proper in the exercise of the rights and powers herein granted; 8. Operate any business or corporation on my behalf in the same capacity as I would have with the same powers and authority possessed by me at that time, including but not limited to exercising stock options and voting all of my shares of stock in said corporation or corporations without the necessity of a proxy and the right to appoint proxies therefore, and possessing all powers that I possess as granted to me by the Bylaws of said corporation or corporations, to incorporate, reorganize, merge, consolidate, recapitalize, sell, liquidate or dissolve any business; elect or employ officers, directors and agents; carry out the provisions of any agreement for the sale of any business interest or the stock therein; 9. Commence, prosecute, discontinue or defend all actions or other legal proceedings or remedies touching my affairs or estate or any part thereof as may be deemed necessary by my agent; and to adjust, sell, compromise, settle, and agree for the same, and to execute and deliver for me, on my behalf, and in my name, all endorsements, releases, receipts, or other sufficient discharges for the same; 10. Borrow any sum or sums of money on such terms and with security, whether real or personal property, as my agent may deem necessary, and to execute all promissory notes, deeds of trust and other instruments which may prove necessary or proper; to borrow against margin accounts on stock and other investments and pledge assets therefore; 11. Engage, employ and dismiss any agents, servants, advisors, including accountants, attorneys or other persons in and about the performance of these duties as my agent shall deem necessary and grant such persons discretionary power; 12. Exercise in my behalf any right of amendment or revocation of any trust or other instrument and to execute and deliver all documents required to evidence same as will as the right to create a trust on my behalf (for example, a revocable trust) and to fund or complete the funding of any such trust created or previously executed by me on my behalf; 13. Receive and receipt for any distribution from any trust under which I am the beneficiary and to withdraw on my behalf any funds or assets held in any trust operating for my benefit, by assignment, conveyance or otherwise; 14. Hold, purchase or invest in my name in "wasting assets" such as life estates or life interests in property and "unproductive assets" such as reminder interests in property if deemed advisable by my agent; 15. This instrument is to be construed and interpreted as a general power of attorney. The enumeration of specific powers herein is not intended to, nor does it, limit or restrict the general powers herein granted to my agent. This instrument is executed and delivered in the State of Florida, and the laws of the State of Florida shall govern all questions as to validity of this power and the construction of its provisions; 16. Third parties may rely upon the representations of the agents as to all matters relating to any power granted to them hereunder, and no person who may act in reliance upon the representations of the agent or the authority granted to it shall incur any liability to the principal or his estate as result of permitting the agent to exercise any power. The following powers are specifically granted (principal must initial any powers wished to be granted below): The following powers are specifically granted to my attorney-in-fact (principal must initial any powers wished to be granted below): ______ (a) Create an inter vivos trust; ______ (b) With respect to a trust created by or on behalf of the principal, amend, modify, revoke, or terminate the trust, but only if the trust instrument explicitly provides for amendment, modification, revocation, or termination by the settlor's agent; ______ (c) Make a gift, subject to subsection (4) of Florida Statutes 709.2202 ; ______ (d) Create or change rights of survivorship; ______ (e) Create or change a beneficiary designation; ______ (f) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan; or ______ (g) Disclaim property and powers of appointment. ______ (h) Authority to conduct investment transactions as provided in section 709.2208(2), Florida Statutes. ______ (i) Authority to conduct banking transactions as provided in section 709.2208(1), Florida Statutes. Notwithstanding the foregoing, the attorney in fact may not: 1. Perform duties under a contract that requires the exercise of personal services of the principal; 2. Make any affidavit as to the personal knowledge of the principal; 3. Vote in any public election on behalf of the principal; 4. Execute or revoke any will or codicil for the principal; 5. Create, amend, modify, or revoke any document or other disposition effective at the principal's death or transfer assets to an existing trust created by the principal unless expressly authorized by the power of attorney; or 6. Exercise powers and authority granted to the principal as trustee or as court - appointed fiduciary. I do hereby undertake to ratify and confirm, all and singular, the acts heretofore performed and to be hereinafter performed by my said agents, acting in my name and on my behalf. IN WITNESS WHEREFORE, I have executed this General Power of Attorney consisting of _________ pages this the _________ day of ______________________ , 20 _________ . Signed: ____________________________________ ATTESTATION The hereinafter named Witnesses, each declare under penalty of perjury under the laws of the State of Florida that the principal is personally known to us, that the principal signed and acknowledged this power of attorney in our presence, that the principal appears to be of sound mind and under no duress, fraud or undue influence, that we are not the person appointed as attorney - in - fact by this document, and that we are not a health care provider, nor an employee of a health care provider or facility. We are not related to the principal by blood, marriage or adoption, and to the best of our knowledge, are not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law. Witness our signatures, this the _________ day of ______________________ , 20 _________ . WITNESSES: ___________________________________ of _______________________________________ ___________________________________ of _______________________________________ STATE OF FLORIDA COUNTY OF ____________________________ The foregoing instrument was acknowledged by me this _________ day of ______________________ , 20 _________ by: _________________________________________ who is/are personally known by me or who has/have produced: ______________________ as identification and who did not take an oath. __________________________________________ SEAL Notary Public State of Florida My Commission Expires: ______________________ ______________________